Main Street Community Mental Health Clinic

LBN: Main Street Mobile Treatment Associates
Main Street Community Mental Health Clinic is an health care organization with primary practice located at 37 Main St , Reisterstown MD 21136-1236. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Main Street Mobile Treatment Associates can be contacted via phone (410) 526-7882, or through Ryan, Pamala Sobol via phone (410) 526-7882.

Contact Information

Primary practice address
37 Main St Reisterstown MD 21136-1236
Fax: (410) 526-9855
Website:
Authorized official contact:
Name: Ryan, Pamala Sobol Registered Nurse (RN)

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X
Agencies / Community/Behavioral Health 251S00000X Maryland

Profile Details

NPI number 1194874867
LBN Legal business name Main Street Mobile Treatment Associates
DBA Doing business as Main Street Community Mental Health Clinic
Authorized official Ryan, Pamala Sobol Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2007
Last updated Jan 3rd, 2024 - about 11 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194874867 NPPES
Maryland MEDICAID 404353700

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